Page last updated: 2024-10-16

carnitine and Ischemic Stroke

carnitine has been researched along with Ischemic Stroke in 5 studies

Ischemic Stroke: Stroke due to BRAIN ISCHEMIA resulting in interruption or reduction of blood flow to a part of the brain. When obstruction is due to a BLOOD CLOT formed within in a cerebral blood vessel it is a thrombotic stroke. When obstruction is formed elsewhere and moved to block a cerebral blood vessel (see CEREBRAL EMBOLISM) it is referred to as embolic stroke. Wake-up stroke refers to ischemic stroke occurring during sleep while cryptogenic stroke refers to ischemic stroke of unknown origin.

Research Excerpts

ExcerptRelevanceReference
"L-carnitine has been shown to exert neuroprotective effects on cerebral ischemia, mainly by improving mitochondrial function and reducing inflammation."8.12Association Between Plasma L-Carnitine and Cognitive Impairment in Patients with Acute Ischemic Stroke. ( Bu, X; Che, B; Chen, H; He, J; Ju, Z; Peng, H; Wang, A; Xu, T; Zhang, J; Zhang, Y; Zhong, C, 2022)
"Higher l-carnitine levels were associated with lower risks of cardiovascular events and recurrent stroke after ischemic stroke."8.12Plasma l-carnitine and risks of cardiovascular events and recurrent stroke after ischemic stroke: A nested case-control study. ( Bao, A; Che, B; Chen, H; Du, J; He, J; Ju, Z; Lu, Z; Miao, M; Xu, T; Zhang, J; Zhang, Y; Zhong, C, 2022)
"Carnitine biosynthesis has been related to fatty acid oxidation, a process probably exerting neuroprotective effects."5.72Associations of plasma carnitine, lysine, trimethyllysine and glycine with incident ischemic stroke: Findings from a nested case-control study. ( Gu, S; Liu, D; Ma, Z; Wang, J; Xiao, L; Zhou, Z; Zuo, H, 2022)
"L-carnitine has been shown to exert neuroprotective effects on cerebral ischemia, mainly by improving mitochondrial function and reducing inflammation."4.12Association Between Plasma L-Carnitine and Cognitive Impairment in Patients with Acute Ischemic Stroke. ( Bu, X; Che, B; Chen, H; He, J; Ju, Z; Peng, H; Wang, A; Xu, T; Zhang, J; Zhang, Y; Zhong, C, 2022)
"Higher l-carnitine levels were associated with lower risks of cardiovascular events and recurrent stroke after ischemic stroke."4.12Plasma l-carnitine and risks of cardiovascular events and recurrent stroke after ischemic stroke: A nested case-control study. ( Bao, A; Che, B; Chen, H; Du, J; He, J; Ju, Z; Lu, Z; Miao, M; Xu, T; Zhang, J; Zhang, Y; Zhong, C, 2022)
"TMAO was associated with lacunar stroke but not other ischemic stroke subtypes in a model adjusted for age, sex, hypertension, diabetes, and smoking (OR, 1."1.91Trimethylamine N-Oxide and White Matter Hyperintensity Volume Among Patients With Acute Ischemic Stroke. ( Ament, Z; Bevers, MB; Bhave, VM; Couch, CA; Garcia Guarniz, AL; Irvin, MR; Kijpaisalratana, N; Kimberly, WT, 2023)
"Carnitine biosynthesis has been related to fatty acid oxidation, a process probably exerting neuroprotective effects."1.72Associations of plasma carnitine, lysine, trimethyllysine and glycine with incident ischemic stroke: Findings from a nested case-control study. ( Gu, S; Liu, D; Ma, Z; Wang, J; Xiao, L; Zhou, Z; Zuo, H, 2022)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's5 (100.00)2.80

Authors

AuthorsStudies
Che, B2
Chen, H2
Wang, A1
Peng, H1
Bu, X1
Zhang, J2
Ju, Z2
Xu, T2
He, J2
Zhong, C2
Zhang, Y2
Liu, D1
Wang, J1
Xiao, L1
Gu, S2
Ma, Z1
Zhou, Z1
Zuo, H1
Du, J1
Miao, M1
Lu, Z1
Bao, A1
Kijpaisalratana, N1
Ament, Z1
Bevers, MB1
Bhave, VM1
Garcia Guarniz, AL1
Couch, CA1
Irvin, MR1
Kimberly, WT1
Yamashita, T1
Yoshida, N1
Emoto, T1
Hirata, KI1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Inner Mongolia Stroke Project A Randomized Controlled Trial of Immediate Blood Pressure Reduction on Death and Major Disability in Patients With Acute Ischemic Stroke in China[NCT01840072]4,071 participants (Actual)Interventional2009-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

A Combination of All-cause Mortality and Major Disability at the 3-month Post-treatment Follow-up.

Major disability was defined as a score of 3 to 5 on the modified Rankin Scale at 3 months after randomization. Scores on the modified Rankin Scale range from 0 to 6, with a score of 0 indicating no symptoms; a score of 5 indicating severe disability (ie, bedridden, incontinent, or requiring constant nursing care and attention); and a score of 6 indicating death (NCT01840072)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Usual Care502
Active Antihypertensive Treatment500

A Combination of Death Within 14 Days After Randomization and Major Disability at 14 Days or at Hospital Discharge if Earlier Than 14 Days.

Major disability was defined as a score of 3 to 5 on the modified Rankin Scale at 14 days after randomization. Scores on the modified Rankin Scale range from 0 to 6, with a score of 0 indicating no symptoms; a score of 5 indicating severe disability (ie, bedridden, incontinent, or requiring constant nursing care and attention); and a score of 6 indicating death. (NCT01840072)
Timeframe: 2 weeks

Interventionparticipants (Number)
Usual Care681
Active Antihypertensive Treatment683

Cognitive Function (Montreal Cognitive Assessment)

Cognitive function was measured by Montreal Cognitive Assessment at 3 months after randomization. The MoCA is a 30-item test that evaluates the following seven cognitive domains: visuospatial/executive functions, naming, memory, attention, language, abstraction, and orientation. One point is added for participants with education <12 years. Scores on the MoCA range from 0 to 30 and cognitive impairment was defined as a score of <26. (NCT01840072)
Timeframe: Three months

InterventionMoCA score (Median)
Usual Care22
Active Antihypertensive Treatment22

Cognitive Function (the Mini-Mental State Examination)

Cognitive function was measured by the Mini-Mental State Examination at 3 months after randomization. The MMSE contains 20 items that test cognitive performance in domains including orientation, registration, attention and calculation, recall, language, and visual construction. MMSE scores were divided into three ordinal categories: 24-30 (no cognitive impairment), 19-23 (mild cognitive impairment), and 0-17 (severe cognitive impairment). (NCT01840072)
Timeframe: Three months

InterventionMMSE score (Median)
Usual Care26
Active Antihypertensive Treatment26

Long-term Neurological and Functional Status

Those patients who were still alive at hospital discharge were contacted by telephone to set up a follow-up clinical visit. Neurological function was assessed by the modified Rankin scale at the 3-month post-treatment follow-up visit. Scores on the modified Rankin Scale range from 0 to 6, with a score of 0 indicating no symptoms; a score of 5 indicating severe disability (ie, bedridden, incontinent, or requiring constant nursing care and attention); and a score of 6 indicating death. Major disability was defined as a score of 3 to 5 on the modified Rankin Scale. (NCT01840072)
Timeframe: Three months

InterventionScore on modified Rankin scale (Median)
Usual Care1.0
Active Antihypertensive Treatment1.0

Mortality

Those patients who are still alive at hospital discharge will be contacted by telephone to set up a follow-up clinical visit. Information on clinical deaths will be obtained. (NCT01840072)
Timeframe: 3 months

Interventionparticipants (Number)
Active Antihypertensive Treatment68
Usual Care54

Other Vascular Events

Those patients who are still alive at hospital discharge will be contacted by telephone to set up a follow-up clinical visit. Information of vascular events, such as myocardial infarction, will be collected. (NCT01840072)
Timeframe: 3 months

Interventionparticipants (Number)
Usual Care59
Active Antihypertensive Treatment48

Recurrent Stroke

Those patients who are still alive at hospital discharge will be contacted by telephone to set up a follow-up clinical visit. Information of recurrent stroke will be collected. (NCT01840072)
Timeframe: 3 months

Interventionparticipants (Number)
Active Antihypertensive Treatment28
Usual Care43

Other Studies

5 other studies available for carnitine and Ischemic Stroke

ArticleYear
Association Between Plasma L-Carnitine and Cognitive Impairment in Patients with Acute Ischemic Stroke.
    Journal of Alzheimer's disease : JAD, 2022, Volume: 86, Issue:1

    Topics: Brain Ischemia; Carnitine; Cognitive Dysfunction; Humans; Inflammation; Ischemic Stroke; Prospective

2022
Associations of plasma carnitine, lysine, trimethyllysine and glycine with incident ischemic stroke: Findings from a nested case-control study.
    Clinical nutrition (Edinburgh, Scotland), 2022, Volume: 41, Issue:9

    Topics: Carnitine; Case-Control Studies; Fabaceae; Glycine; Humans; Ischemic Stroke; Lysine; Stroke; Tandem

2022
Plasma l-carnitine and risks of cardiovascular events and recurrent stroke after ischemic stroke: A nested case-control study.
    Nutrition, metabolism, and cardiovascular diseases : NMCD, 2022, Volume: 32, Issue:11

    Topics: Aged; Biomarkers; Carnitine; Case-Control Studies; Chromatography, Liquid; Electrolytes; Female; Hum

2022
Trimethylamine N-Oxide and White Matter Hyperintensity Volume Among Patients With Acute Ischemic Stroke.
    JAMA network open, 2023, 08-01, Volume: 6, Issue:8

    Topics: Aged; Betaine; Carnitine; Cerebral Small Vessel Diseases; Choline; Cross-Sectional Studies; Female;

2023
Unraveling the Effects of Trimethylamine N-Oxide on Stroke: "The lower, the better?"
    Journal of atherosclerosis and thrombosis, 2021, Apr-01, Volume: 28, Issue:4

    Topics: Betaine; Carnitine; Cholesterol; Choline; Diet Therapy; Gastrointestinal Microbiome; Humans; Ischemi

2021